Individual
DR. COLLEEN KRISTIN COGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2760
Mailing address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2760
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036156059
IL
207L00000X
Anesthesiology Physician
125.071683
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
04/29/2022
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